Utah Hematology Oncology PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4813 Issued in UT

Legal business name

UTAH HEMATOLOGY ONCOLOGY PC

Practice address

2132 N 1700 W
Suite 301
Layton, UT 84041-7057

Phone

(801) 775-9990

Fax

(801) 479-1479

NPI assigned

Sep 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David C Pittam, MHA

Title

Administrator

Phone

(801) 476-1777

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly D Mikesell, PA-C

  • Medical Physician Assistant
  • West Jordan, UT
  • NPI 1023200888
  NPD
• Kylie Ann Money, PA-C

  • Physician Assistant
  • Ogden, UT
  • NPI 1871058131
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1689868523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 S 400 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057194",
            "telephone_number": "801-476-1777",
            "fax_number": "801-479-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 N 1700 W",
            "address_2": "SUITE 301",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417057",
            "telephone_number": "801-775-9990",
            "fax_number": "801-479-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH HEMATOLOGY ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "PITTAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-476-1777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "4813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Utah CVS Pharmacy, L.L.C. (CVS Pharmacy # 10927)
• Utah Health Services - DH&MC, LLC (Davis Hospital and Medical Center)
• Utah Health Services - DH&MC, LLC (Davis Hospital and Medical Center)
• Utah Home Health and Hospice LLC
• Utah Plastic Surgery LLC (Utah Facial Plastics)
• Utah Wound Care and Hyperbaric Center LLC (UTAH Wound Care Center)
• Teddee Utley
• Marquita Shantell Valdez Cruze

• Specialist in Layton, UT
• Providers in Layton, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.